title: Concomitant transapical mitral valvuloplasty and CentriMag assist device placement: in a "no-option" patient.
abstract: Left ventricular assist devices and percutaneous valve interventions have radically changed the treatment of advanced heart disease and minimized surgical morbidity in patients with end-stage heart failure who would not survive conventional surgery. We describe a successful approach to the simultaneous placement of a percutaneous left ventricular assist device and mitral valvuloplasty in a decompensated patient with end-stage ischemic cardiomyopathy, severe peripheral arterial disease, porcelain aorta, and severe mitral and aortic disease.
authors.affiliation: Departments of Cardiology (Drs. Kar, Kikec, Loyalka, Nascimbene, and Nathan) and Cardiovascular Surgery (Drs. Frazier and Gregoric), Texas Heart Institute, Houston, Texas 77030.
authors.forename: Biswajit
authors.initials: B
authors.lastname: Kar
authors.forename: Angelo
authors.initials: A
authors.lastname: Nascimbene
authors.forename: Pranav
authors.initials: P
authors.lastname: Loyalka
authors.forename: Jan
authors.initials: J
authors.lastname: Kikec
authors.forename: Sriram
authors.initials: S
authors.lastname: Nathan
authors.forename: Igor D
authors.initials: ID
authors.lastname: Gregoric
authors.forename: O H
authors.initials: OH
authors.lastname: Frazier
mesh_terms: D063126:Balloon Valvuloplasty; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D011474:Prosthesis Design; D016896:Treatment Outcome; D016277:Ventricular Function, Left
keywords: Heart failure/therapy; heart-assist devices; mitral valve stenosis/therapy